Parents with New Partners Program

First Name *

Last Name *

Email *

Phone *

Address

City

State

Postal code

Taking First Step within the last 2 years is a requirement for this course. Do you meet this requirement? *

Yes

first-step-co-parent-class

Please be sure to register for a First Step date which will occur before your Parents with New Partners class date.

Select Date Options

Click on the field below to select the class date:

Parent with New Partners Class Date *

What is the name of your child's other parent (your co-parenting partner)?

If you intend for your new partner to attend with you, please provide your new partner's contact information.

New Partner First Name

New Partner Last Name

New Partner Email

New Partner Phone #

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Fee is $125.00 for 1 participant

$225 for participant with new partner also attending

Collect Payment *

$ 125

$ 225